摘要
目的探讨自由体位对初产妇产程进展的影响。方法择2013年1月至2014年12月收治的初产妇180例为研究对象,随机将其分为两组,每组各90例。对照组采用传统平卧或侧卧体位待产,观察组采用自由体位待产。观察比较两组产程时间、分娩结局和母婴并发症以及产妇疼痛情况。结果与对照组比较,观察组第一产程、第二产程及总产程时间均明显缩短(P<0.05),但第三产程时间两组比较差异无统计学意义。与对照组比较,观察组经阴道分娩的患者比率高,产后出血量明显减少(P<0.05),但两者新生儿1 min Apgar评分比较差异无统计学意义。观察组产妇疼痛1级和2级患者所占比率高于对照组,产妇尿潴留发生率和新生儿窒息发生率均明显低于对照组(P<0.05)。结论在分娩第一和第二产程中指导初产妇采取自由体位分娩,可缩短产程进展,提高阴道分娩率,降低母婴并发症发生率。
Objective To investigate the effect of freedom postures on labor progress in primipara. Methods 180 primipara cases were selected from our hospital January 2013 to December 2014, and were randomly divided into two groups, 90 cases in each group. The control group used traditional supine or lateral position expectant, the observation group used free - position to be produced. To compare the labor time, birth outcomes and maternal complications and maternal pain conditions of the two groups. Results The flint stage of labor, the second stage of labor and total labor time in observation group was significantly shorter than the control group （ P 〈 0.05 ）, but the difference of the third stage of labor time was not statistically significant. Compared with the control group, patients in the observation group after vaginal delivery rate was higher, the incidence of urinary retention was lower, postpartum hemorrhage was significantly less （ P 〈 0.05 ） , but 1 min Apgar score difference of both new- borns was not statistically significant. In the maternal pain observation group and two patients a percentage of the control group, the incidence of urinary retention maternal and neonatal asphyxia were significantly lower than the control group （ P 〈 0.05 ）. Conclusion Early guidance on delivery of the first and second stage of labor in women taking birth liberal position can shorten the progress of labor, increase the rate of vaginal delivery, reduce infant and maternal morbidity.
出处
《临床和实验医学杂志》
2015年第14期1212-1215,共4页
Journal of Clinical and Experimental Medicine
关键词
初产妇
分娩
自由体位
产程
Primipara
Delivery
Liberal posltioa
Labor progress
